Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,046.77 / $5,412.00 / $13,209.00	Facility		$2,046.77	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,761.14 / $2,003.55 / $2,595.09	Professional		$1,761.14	$2,003.55	$2,595.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $37,782.72 / $52,623.67	Facility		$7,142.00	$37,782.72	$52,623.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.86 / $2,196.87 / $3,632.08	Professional		$1,698.86	$2,196.87	$3,632.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,108.84 / $2,200.56 / $17,559.00	Professional		$2,108.84	$2,200.56	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $2,097.92	Facility		$640.00	$640.00	$2,097.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,768.20 / $2,227.39 / $3,968.82	Professional		$1,768.20	$2,227.39	$3,968.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,739.66 / $2,251.33 / $2,660.66	Professional		$1,739.66	$2,251.33	$2,660.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,907.38 / $2,400.19 / $3,617.33	Facility		$1,907.38	$2,400.19	$3,617.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,264.00 / $2,559.00 / $3,483.00	Professional		$2,264.00	$2,559.00	$3,483.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,736.77 / $2,300.30 / $7,420.00	Facility		$1,736.77	$2,300.30	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,736.77 / $2,300.30 / $7,420.00	Professional		$1,736.77	$2,300.30	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,366.00 / $2,140.78 / $3,465.74	Professional		$1,366.00	$2,140.78	$3,465.74